What is a femoral traction pin?
Skeletal traction via a femoral or tibial traction pin assists in the reduction and transient stabilization of acetabular fractures with or without concomitant hip dislocation, pelvic vertical shear injuries, foreshortened femoral shaft fractures, and other pelvic, hip or femur injuries where splinting is not effective …
Where do you put the femoral traction pin?
Technique
- Distal Femoral Traction: Pin placed medial to lateral, just proximal to femoral epicondyle and adductor tubercle.
- Proximal Tibial Traction: Pin placed lateral to medial, about 2 cm distal and 2 cm posterior to tibial tubercle.
What is a traction pin?
In skeletal traction, a pin is placed inside your bone. That pin provides a base for a pulley system. It uses gradual pulling force to realign broken bones and promote proper healing. There are two common types of traction. These include skin traction and skeletal traction.
What is femoral traction?
Femoral Traction is a temporary intervention to realign the broken bone and help relieve pressure and muscle spasms until operative fixation. Other Names: Bucks Traction.
What is the purpose of skeletal traction?
The main use of skeletal traction is to correct and maintain the position of fracture-dislocation of the cervical spine or act as a splint for undisplaced cervical fractures. Used as a balanced traction treatment of cervical spondylosis, or torticollis.
Where do you put a traction pin?
Note: Due to the risk of injury to the peroneal nerve, it is recommended to place the traction pin from lateral to medial. Connect the pin with an appropriate traction stirrup. It is important that the stirrup be freely mobile around the traction pin, to prevent rotation of the pin within the bone.
What is femur traction?
What is the meaning of skeletal traction?
Skeletal traction involves placing a pin, wire, or screw in the fractured bone. After one of these devices has been inserted, weights are attached to it so the bone can be pulled into the correct position.
Which traction is a type of skeletal traction?
Why is skeletal traction used?
What are the complication of skeletal traction?
Complications of skeletal traction These include: Pin tract infections. Muscle wasting. Prolonged bed immobilization with resultant bed sores.
How is a distal femur pin traction procedure performed?
Skeletal traction via distal femur pin After painting the skin with antiseptic and draping with sterile towels, inject a bolus of local anesthesia on each side of the distal femur (into the medial skin at the proposed site of pin insertion and laterally at the anticipated exit point).
What is the pull on the femur for maintenance traction?
The pull on the femur (weight at the end of the traction) should be enough to correct length and to reduce the fracture. For maintenance traction 10% of the patient’s body weight is usually sufficient. The pull should always be in line with the femur. The thigh can be supported on a firm triangular foam wedge, or by folded pillows.
What are the indications for the insertion of a femur pin?
Indications for use 1. Acetabular fractures 2. Proximal femur fractures 1. Do not set up femoral traction until confirming that no skeletal injury is present about the knee. 2. The pin must be inserted from the medial aspect to avoid injury to the femoral artery. 3. Ensure that the pin is placed under sterile technique.
How do you treat a femoral fracture with no Thomas splint?
In the event that there is no Thomas splint available, skin traction over the end of the bed with 7 kg will be the initial treatment of a femoral fracture. Note: With any longitudinal traction, the foot of the bed must be raised, tilting the bed, to avoid the traction weight pulling the patient down the bed.